Individual
OBUMNEKE JESSICA UGBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1910 S STAPLEY DR STE 209, MESA, AZ 85204-6679
(480) 351-8020
Mailing address
1910 S STAPLEY DR STE 209, MESA, AZ 85204-6679
(480) 351-8020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8409
AZ
363A00000X
Physician Assistant
PA14404
TX
Other
Enumeration date
06/15/2021
Last updated
11/18/2025
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